Entry Level Production- Brandenburg, KY NucorEntry Level Production- Brandenburg, KYBrandenburg, KYOur vibrant culture, built on personal connections and teamwork, empowers every team member with the freedom to innovate and contribute to our collective success. Joining Nucor means becoming part of North America's largest steel and steel products manufacturer, offering unmatched career opportunities and stability.
NDS Entry Level Production Frankfort NucorNDS Entry Level Production FrankfortFrankfort, KYOur vibrant culture, built on personal connections and teamwork, empowers every team member with the freedom to innovate and contribute to our collective success. Joining Nucor means becoming part of North America's largest steel and steel products manufacturer, offering unmatched career opportunities and stability.
Entry Level Sales Representative - Fast Track Program - Uncapped Commission Relocation Provided Total Quality Logistics LLCEntry Level Sales Representative - Fast Track Program - Uncapped Commission Relocation ProvidedLouisville, KYAbout the role: The Fast Track Sales Program at TQL is designed for high-potential individuals who want to move faster and earn more than the traditional entry‑level path. As a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs.
Entry-Level Sales Rep Southern Roofing and RenovationsEntry-Level Sales RepJeffersontown, KY$65,000–$75,000 / yearFull timeWhen homeowners need exceptional home repairs, whether after a storm, an accident, or simply the passage of time, they know to call Southern Roofing and Rennovations! Our dedicated team excels in residential remodeling, renovation, and repair services, doing whatever it takes to get our customers' home exteriors back in fantastic condition.
Entry Level Outside Sales Trainee - Northeast The Reynolds and Reynolds CompanyEntry Level Outside Sales Trainee - NortheastLouisville, KYRemoteOur products and services are specifically targeted to the automotive industry and include high-end software solutions, marketing services, printed business forms and promotional products. Reynolds and Reynolds is seeking motivated and hard-working Entry Level Outside Sales Trainees to join our growing team.
NewEntry Level Sales Representative SUMMIT BUSINESS GROUP, LLCEntry Level Sales RepresentativeCovington, KYAs an Entry Level Direct Sales Associate at Summit, you'll be the driving force in forging new relationships with business owners and key decision-makers across small to medium-sized businesses. Once fully trained, your day will largely be spent on the move, independently navigating your sales territory, engaging directly with clients, and demonstrating why Summit's insurance solutions are ahead of the curve.
Entry Level Sales Representative Andrew Meier Inc.Entry Level Sales RepresentativeMurray, Kentucky$75,000–$90,000 / yearImplement marketing strategies including, but not limited, to cold calling and networking to connect with potential clients while simultaneously maintaining a portfolio of current clients. The ideal candidate for our entry-level insurance agent position has the solid communications skills it takes to drive insurance sales among potential clients and new clients.
CHILD AND YOUTH PROGRAM ASSISTANT (ENTRY LEVEL) United States Air ForceCHILD AND YOUTH PROGRAM ASSISTANT (ENTRY LEVEL)Fort Campbell, KY$18.70–$21.76 / hour18 months of experience working in a childcare or youth program, plus possession and maintenance of one of the following directly related to the age group of the position to which assigned: child development associate credential, military school age credential, or other nationally recognized youth development credential. 18 months of experience working in a childcare or youth program, plus an associate degree that includes a major course of study (24 credit hours) with content directly related to the age group to which assigned, from a regionally or nationally accredited college or university.
Child and Youth Program Assistant (Entry - Target Level) United States Air ForceChild and Youth Program Assistant (Entry - Target Level)Fort Campbell, KY$18.70–$27.06 / hour18 months of experience working in a childcare or youth program, plus possession and maintenance of one of the following directly related to the age group of the position to which assigned: child development associate credential, military school age credential, or other nationally recognized youth development credential. 18 months of experience working in a childcare or youth program, plus an associate degree that includes a major course of study (24 credit hours) with content directly related to the age group to which assigned, from a regionally or nationally accredited college or university.
Sales Representative Entry-Level Andrew Meier Inc.Sales Representative Entry-LevelMadisonville, Kentucky$75,000–$90,000 / yearCandidates within 6 months or less of degree completion will be considered, as will candidates with less than 4 years of professional work experience who have relevant or specialized outside sales experience. Established in 2017, our team has averaged 30% growth year after year for the last 7 years, growing from one rep in Missouri to over 100+ reps in 12 states.
Entry Level Recruiter Total Quality Logistics LLCEntry Level RecruiterLexington, KYAs a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. About the role: Recruiting at TQL is an opportunity to build a career with an industry leader of over 9,000 employees, offering an award-winning culture and high earning potential through uncapped bonuses.
NewChild and Youth Program Assistant (Entry Level) United States Air ForceChild and Youth Program Assistant (Entry Level)Fort Campbell, KY$18.70–$21.76 / hour18 months of experience working in a childcare or youth program, plus possession and maintenance of one of the following directly related to the age group of the position to which assigned: child development associate credential, military school age credential, or other nationally recognized youth development credential. 18 months of experience working in a childcare or youth program, plus an associate degree that includes a major course of study (24 credit hours) with content directly related to the age group to which assigned, from a regionally or nationally accredited college or university.
CHILD AND YOUTH PROGRAM ASSISTANT (ENTRY - TARGET LEVEL) United States Air ForceCHILD AND YOUTH PROGRAM ASSISTANT (ENTRY - TARGET LEVEL)Fort Campbell, KY$18.70–$22.08 / hour18 months of experience working in a childcare or youth program, plus possession and maintenance of one of the following directly related to the age group of the position to which assigned: child development associate credential, military school age credential, or other nationally recognized youth development credential. 18 months of experience working in a childcare or youth program, plus an associate degree that includes a major course of study (24 credit hours) with content directly related to the age group to which assigned, from a regionally or nationally accredited college or university.
NewCustomer Service Representative- Entry Level Quipt Home MedicalCustomer Service Representative- Entry LevelNewport, KYAs a Customer Service Representative, you are a direct point of contact for any patient, care giver, referral source, or commercial account that contacts Care Medical either in person, over the telephone or via the internet, to provide equipment and/or services. Neat personal appearance with pleasing manner and interpersonal skills • Strong communication skills with capacity to make independent decisions • Medicare/Medicaid and insurance billing, bookkeeping or medical office experience preferred.
Entry Level Sales - Training Provided Spieldenner Financial GroupEntry Level Sales - Training ProvidedLexington, KYYour level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work. Job Duties: Setting Appointments: 6-8 hours per week: reaching out to potential clients that have previously requested coverage with our company and scheduling a time to meet with them to discuss their mortgage protection coverage.
Entry-level Lube Tech/Technician Valvoline IncEntry-level Lube Tech/TechnicianShepherdsville, KYWe seek team members with: Schedule flexibility (Weekend availability is likely, but we ensure you don't work late nights or holidays). Together, we'll help keep our guests safe on the road by providing top-tier customer service, while performing preventative maintenance services for their vehicles.
Entry-level Lube Tech/Technician (Part Time) Valvoline IncEntry-level Lube Tech/Technician (Part Time)COLD SPRING, KYWe seek team members with: Schedule flexibility (Weekend availability is likely, but we ensure you don't work late nights or holidays). Together, we'll help keep our guests safe on the road by providing top-tier customer service, while performing preventative maintenance services for their vehicles.
NewHourly Entry Level Production Operations Technician International Paper CoHourly Entry Level Production Operations TechnicianMaysville, KYPreferred candidates have the following skills and/or experience(s): Demonstrated stability through a consistent work history with at least 2-years consecutive employment; or, Demonstrated combination of technical training and school leadership activities; or, Other technical training or certifications such as Ready to Work programs. Must be willing to meet the following requirements: Operate or work in industrial conditions (may be warm/hot, dusty/dirty, around hazardous chemicals, noise, heavy machinery or elevated working surfaces (with proper safety training and safety protection).
Entry Level Sales Representative Summit Business GroupEntry Level Sales RepresentativeGeorgetown, KentuckyAs an Entry Level Direct Sales Associate at Summit, you'll be the driving force in forging new relationships with business owners and key decision-makers across small to medium-sized businesses. Once fully trained, your day will largely be spent on the move, independently navigating your sales territory, engaging directly with clients, and demonstrating why Summit's insurance solutions are ahead of the curve.
Entry Level Sales Consultant Summit Business GroupEntry Level Sales ConsultantNewport, KentuckyAs an Entry Level Direct Sales Associate at Summit, you'll play a pivotal role in establishing connections with business owners and key decision-makers within small to medium-sized businesses. Your mission, once fully trained, will be to hit the ground running, independently navigating your sales territory, engaging directly with clients, and showcasing why Summit's insurance solutions stand out from the crowd.
Entry-Level Sales Trainee 84 Lumber CoEntry-Level Sales TraineeRussellville, KY$46,000–$48,000 / hour84 Lumber is the nation's largest privately held supplier of building materials, manufactured components and industry-leading services for residential and commercial construction. Maintains detailed reports of sales activities including calls, orders, sales, lost business, and any customer or vendor relationship problems.
NewEntry Level Recruiter/Sales Trainee - Louisville, KY AerotekEntry Level Recruiter/Sales Trainee - Louisville, KYLouisville, KYIndividual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. We work with 95% of Fortune 500 companies and specialize in staffing and services solutions in manufacturing, logistics, construction, aviation, facilities and maintenance.
Entry Level Sales Executive WaystarEntry Level Sales ExecutiveLouisville, KYWaystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
Entry Level Technician Alliance Technical GroupEntry Level TechnicianCalvert City, KYDuring our comprehensive training process, you will learn the following responsibilities for the Entry Level Monitoring Technician (LDAR) position which are located onsite at our client sites: Daily monitoring of components to detect leaking equipment (valves, pumps, connectors, etc.) which can be a source of emissions and volatile hazardous air pollutants. Ability to be on your feet for 8-10+ hours per day on uneven ground (concrete, rock, grass, mud/dirt, etc.), while wearing the monitoring backpack (weighing up to 25 lbs.) as well as carry other equipment as needed (ladders, water coolers, etc.).
Entry Level Technician AllianceEntry Level TechnicianCalvert City, KentuckyDuring our comprehensive training process, you will learn the following responsibilities for the Entry Level Monitoring Technician (LDAR) position which are located onsite at our client sites: Daily monitoring of components to detect leaking equipment (valves, pumps, connectors, etc.) which can be a source of emissions and volatile hazardous air pollutants. Ability to be on your feet for 8-10+ hours per day on uneven ground (concrete, rock, grass, mud/dirt, etc.), while wearing the monitoring backpack (weighing up to 25 lbs.) as well as carry other equipment as needed (ladders, water coolers, etc.).
NewSales Representative Entry Level Alleviation Enterprise LLCSales Representative Entry LevelShelbyville, KentuckyWeekly draw pay option plus commissions (no caps and short sales cycle-3 business days) as well as monthly cash sales bonuses, quarterly stock share bonuses, incentive trips, and vested renewal commissions. Bachelor's degree or minimum of 4 years post-high school work experience (candidates within 6 months of degree completion or less than 4 years of professional work experience with relevant sales or athletic background will be considered).
Entry Level Outside Sales Representative Automatic Data Processing IncEntry Level Outside Sales RepresentativeLouisville, KYIn return, you'll be rewarded with uncapped commissions, incentive trips, and opportunities to advance your career in a fun and friendly environment -- all while gaining serious credibility as part of an industry-leading sales team in a stable and highly respected tech company. Daily, you will cultivate relationships, set appointments, gather leads from established business partners, assess client or prospect needs to present the best ADP solutions, and spend your time in the field closing business.
NTP-LV - Entry Level Production Nucor CorporationNTP-LV - Entry Level ProductionLouisville, KentuckyOur vibrant culture, built on personal connections and teamwork, empowers every team member with the freedom to innovate and contribute to our collective success. Joining Nucor means becoming part of North America's largest steel and steel products manufacturer, offering unmatched career opportunities and stability.
Entry Level Production- Brandenburg, KY 1 Nucor CorporationEntry Level Production- Brandenburg, KY 1Brandenburg, KentuckyOur vibrant culture, built on personal connections and teamwork, empowers every team member with the freedom to innovate and contribute to our collective success. Joining Nucor means becoming part of North America's largest steel and steel products manufacturer, offering unmatched career opportunities and stability.
Entry Level Production - Nucor Steel Gallatin, Ghent, KY Nucor CorporationEntry Level Production - Nucor Steel Gallatin, Ghent, KYGhent, KentuckyOur vibrant culture, built on personal connections and teamwork, empowers every team member with the freedom to innovate and contribute to our collective success. Joining Nucor means becoming part of North America's largest steel and steel products manufacturer, offering unmatched career opportunities and stability.
Physician Account Detail Sales Rep (Entry) Innovativ Pharma, Inc.Physician Account Detail Sales Rep (Entry)Louisville, KYOur Pharmaceutical Sales Rep team provides the overall direction for our company, and provide us with the tools necessary to rise to any challenge by leveraging our collective hard work and effort along with our unwavering competitive spirit. Uses functional and technical knowledge of pharmacology products, healthcare, pharmaceutical market places, managed care, and customer markets to meet or exceed customer needs.
Sales Account Rep – BioPharma (Entry) Immune BiopharmaSales Account Rep – BioPharma (Entry)Paducah, KYFull timeEffectively promote and educate physicians on the use of our pharmaceutical products through one-on-one meetings and group presentations, company-approved promotional speaker programs, and other company-approved means. Expected to accurately report/submit sales call activities, territory expenses and written reports and within deadline as defined by Astellas or the Regional Sales Manager.
VP of Hotel Accounting - Schulte Hospitality Group Schulte Hospitality Group IncVP of Hotel Accounting - Schulte Hospitality GroupLouisville, KYThis role owns the financial integrity of the accounting function across the assigned portfolio - from month-end close oversight through team leadership, audit readiness, and cross-functional partnership with operations and ownership. Schulte Hospitality Group is seeking a Vice President of Hotel Accounting to provide executive-level financial leadership across a large, multi-property portfolio operating in a high-volume, multi-brand hospitality environment.
Accounting Lead - PCO Humana IncAccounting Lead - PCOLouisville, KYRemote$94,900–$130,500 / yearThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. The Accounting Lead prepares, records, analyzes and reports accounting transactions and ensures the integrity of accounting records for completeness, accuracy and compliance with accepted accounting policies and principles.
Accounting Analyst II Catalent IncAccounting Analyst IIWinchester, KYThe Accounting Analyst II owns end-to-end finance support across invoice processing, journal entries, reconciliations, and monthly reporting, partnering with cross-functional stakeholders to ensure accurate financial results, clear variance explanations, and timely corporate deliverables. Catalent is an exciting and growing international company where employees work directly with pharma, biopharma and consumer health companies of all sizes to advance new medicines from early development to clinical trials and to the market.
Accounting Analyst II CatalentAccounting Analyst IIWinchester, KentuckyThe Accounting Analyst II owns end-to-end finance support across invoice processing, journal entries, reconciliations, and monthly reporting, partnering with cross-functional stakeholders to ensure accurate financial results, clear variance explanations, and timely corporate deliverables. Catalent is an exciting and growing international company where employees work directly with pharma, biopharma and consumer health companies of all sizes to advance new medicines from early development to clinical trials and to the market.
Accounting Analyst II Catalent Pharma Solutions, Inc.Accounting Analyst IIBel Air, KYThe Accounting Analyst II owns end-to-end finance support across invoice processing, journal entries, reconciliations, and monthly reporting, partnering with cross-functional stakeholders to ensure accurate financial results, clear variance explanations, and timely corporate deliverables. Catalent is an exciting and growing international company where employees work directly with pharma, biopharma and consumer health companies of all sizes to advance new medicines from early development to clinical trials and to the market.
Customs Entry Agent ManpowerCustoms Entry AgentErlanger, KYManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.
Customer Entry Agent ManpowerCustomer Entry AgentErlanger, KYManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.
Manager, Accounting Services SercoManager, Accounting ServicesFrankfort, KYLead and manage the Accounts Payable team, fostering a culture of excellence, collaboration, and continuous improvement while overseeing day-to-day operations to ensure efficient workflows, accuracy and timeliness in invoice posting and payment processing, correct reporting, and compliant data management. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job-related knowledge, education and training, key skills, and geographic market considerations.
Pharmacy Technician - Data Entry - Full-Time Guardian Pharmacy Services ManagementPharmacy Technician - Data Entry - Full-TimeLexington, KentuckyOn an as needed, may assist with filing of completed orders, packaging of medications, inventory, profiling of orders for medical records, and filling processed prescriptions to dispense to the patient. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Pharmacy Technician - Data Entry - Part-Time Guardian Pharmacy Services ManagementPharmacy Technician - Data Entry - Part-TimeLexington, KentuckyOn an as needed, may assist with filing of completed orders, packaging of medications, inventory, profiling of orders for medical records, and filling processed prescriptions to dispense to the patient. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
NewAccounting Manager UofL HealthAccounting ManagerLouisville, KYAccounting ManagerApplylocations: Louisville, Kentuckytime type: Full timeposted on: Posted Todayjob requisition id: JR 2026-111526# **Primary Location:**Nucleus Building - UMC# **Address:**300 E. Market St. Louisville, KY 40202# **Shift:**None (United States of America)# **Job Description Summary:**About UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.# **Job Description:****Position Summary and Purpose** The Accounting Manager is to coordinate, identify, recommend and perform the activities for the general accounting operations including general ledger, financial reporting, tax reporting, fixed assets, social accountability reporting, and audits as established by ULP.
Technical Accounting & Reporting - SEC Reporting Operate Senior Manager Deloitte Touche Tohmatsu LtdTechnical Accounting & Reporting - SEC Reporting Operate Senior ManagerLouisville, KY$134,475–$269,875 / yearWe bring together the diverse skills and industry experience of our people, leading-edge technology, and a global network to deliver high-quality audits of financial statements and internal controls over financial reporting, along with assurance reports and valuable advice and insights across the corporate reporting landscape. Strong knowledge of SEC reporting with experience as a SEC reporting director or manager or equivalent position; 3+ years of direct SEC experience plus 5+ years of public accounting or equivalent experience, ideally within a public accounting and/or advisory environment.
Revenue & Accounting Analyst Churchill Downs IncorporatedRevenue & Accounting AnalystLouisville, KYThe mental demands are representative of those that must be met by an employee to successfully perform the essential functions, as described above, including but not limited to: demonstrated ability to anticipate and solve practical problems or resolve issues; reason, calculate figures and amounts; collect, interpret, and understand complex data and information, and draw valid conclusions; analyze procedures and policies; and meet schedules in a dynamic and sometimes demanding work environment. While performing the duties of this job, the employee is frequently required to sit, sometimes for prolonged periods, while working at a desk, on the phone, and the computer; type on a computer keyboard; use hands to finger, handle or feel; talk or hear; reach with hands or arms; walk or stand; and perform some repetitive motion activities.
NewRevenue & Accounting Analyst PRESQUE ISLE DOWNSRevenue & Accounting AnalystLouisville, KYThe mental demands are representative of those that must be met by an employee to successfully perform the essential functions, as described above, including but not limited to: demonstrated ability to anticipate and solve practical problems or resolve issues; reason, calculate figures and amounts; collect, interpret, and understand complex data and information, and draw valid conclusions; analyze procedures and policies; and meet schedules in a dynamic and sometimes demanding work environment. While performing the duties of this job, the employee is frequently required to sit, sometimes for prolonged periods, while working at a desk, on the phone, and the computer; type on a computer keyboard; use hands to finger, handle or feel; talk or hear; reach with hands or arms; walk or stand; and perform some repetitive motion activities.
Accounting Clerk CRH PlcAccounting ClerkLexington, KYMust be committed to providing and promoting a safe work environment; Excellent computer skills including email (Outlook), Internet, and Microsoft Office (Excel, Word); Possess solid data-entry, organization, and verbal/written communication skills; Ability to work in a fast paced environment and multi task as needed; Good decision making skills and strong attention to detail; Willingness to work in a team environment and assist co-workers or supervisor with other duties as required; Must be willing to work overtime as needed; Must be able to interact with varying levels of corporation and different levels of computer systems like ViewPoint, Apex (JWS), B2W, Infield, Track-It, Command, and Microsoft Office Suite; Be able to provide Accounting Executives any month end reconciliation back up as needed; Perform all other duties as assigned. Check and Balance payroll register and Final Interface to ensure accuracy; Produce/Distribute multiple weekly payroll reports; Collaborate with HR on changes, discrepancies, garnishments; Field inquiries and phone calls for payroll; High level of confidentiality regarding all payroll information.
Manager, Insurance Accounting Ventas IncManager, Insurance AccountingLouisville, KY$110,000–$155,000 / yearThe Ventas portfolio also includes outpatient medical buildings, research centers and healthcare facilities that attract strong institutional demand from the largest health systems, biomedical companies and universities and other research institutions in the world. The position plays a critical role in strengthening controls, improving reserve accuracy, and building scalable insurance accounting processes as Ventas' insurance programs continue to grow in size and complexity.
Accounting Clerk AMAT SoutheastAccounting ClerkLexington, KYMust be committed to providing and promoting a safe work environment; Excellent computer skills including email (Outlook), Internet, and Microsoft Office (Excel, Word); Possess solid data-entry, organization, and verbal/written communication skills; Ability to work in a fast paced environment and multi task as needed; Good decision making skills and strong attention to detail; Willingness to work in a team environment and assist co-workers or supervisor with other duties as required; Must be willing to work overtime as needed; Must be able to interact with varying levels of corporation and different levels of computer systems like ViewPoint, Apex (JWS), B2W, Infield, Track-It, Command, and Microsoft Office Suite; Be able to provide Accounting Executives any month end reconciliation back up as needed; Perform all other duties as assigned. Check and Balance payroll register and Final Interface to ensure accuracy; Produce/Distribute multiple weekly payroll reports; Collaborate with HR on changes, discrepancies, garnishments; Field inquiries and phone calls for payroll; High level of confidentiality regarding all payroll information.
Pharmacy Technician - Data Entry - Part-Time Guardian Pharmacy LLCPharmacy Technician - Data Entry - Part-TimeLexington, KY$17–$25 / hourOn an as needed, may assist with filing of completed orders, packaging of medications, inventory, profiling of orders for medical records, and filling processed prescriptions to dispense to the patient. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.